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Bio Medical Waste Report For Shalimar Bagh

Month Red Autoclave(Infected Plastic Waste) Yellow- Incineration(AnatomicalWaste & Soiled Waste) Blue Autoclave (Glass- Bottles) Black Cytotoxic- Incineration( Cytotoxic Contaminated Items) White- Sharp Total Bags Total Weight(In KG's)
  No. of Bags Weight (in KG's) No. of Bags Weight (in KG's) No. of Bags Weight (in KG's) No. of Bags Weight (in KG's) No. of Bags Weight (in KG's)    
Apr-17 924 2963.50 954 2994.10 239 1017.30 103 279.20 1645 606.40 3865 7861.00
May-17 1175 4624.12 1028 3498.40 276 1524.34 87 195.01 1803 823.85 4369 10665.71
Jun-17 1060 4511.45 902 2886.66 293 1324.05 76 194.00 2057 1100.69 4388 10016.85
Jul-17                     0 0.00
Aug-17                     0 0.00
Sep-17                     0 0.00
Oct-17                     0 0.00
Nov-17                     0 0.00
Dec-17                     0 0.00
Jan-18                     0 0.00
Feb-18                     0 0.00
Mar-18                     0 0.00
YTD 3159 12099.065 2884 9379.155 808 3865.69 266 668.705 5505 2530.94 12622 28543.555

Cardiac Sciences

Home >> Taxonomy >> Cardiac Sciences

Clinical Directorate

For more info please call 8744 888 888 (Delhi – NCR) & 9988 422 333 (Chandigarh Tri-city), or mail at homecare@maxhealthcare.com

Max Institute of Cardiac Sciences strives to provide patients with expert treatment and care. We believe in offering the patients with an ethical and open environment to recover. Our team of expert cardiologists and cardiac surgeons believes in carrying out an in-depth investigation of patient condition taking into account patient’s complete medical history, therefore strategizing a tailored treatment and recovery plan for each.

Our expertise in cardiac care helps us in caring for patients with heart disease by providing complete all-round care. From diagnosis, prevention, treatment, surgical care to cardiac rehabilitation and wellness services, we look after your heart A to Z.

Open-heart Surgery - What You Need to Know?

February 12, 2018 0 187 4 minutes, 7 seconds read

It is one of the most significant life-saving surgeries performed nowadays. With the advent of modern technology it has a usual risk of 1% to 5 % which is as good as any other surgery performed today .In this type of surgery, heart surgeons open the chest of the patient and perform surgery on the heart’s internal structures.

Thanks to the introduction of technologically advanced heart surgery techniques, some methods have evolved such as minimally invasive heart surgery (MICS) where incisions are substantially smaller , less traumatic and cosmetically better .

People suffering from serious heart conditions such as heart failure and heart attack are often recommended an open-heart surgery from a reputed hospital. Though the surgery is often called as a ‘bypass surgery’, it also performed to treat various health issues in the heart.

Below is a brief discussion on what you need to know about open-heart surgery.

Why is it needed?

Open-heart surgery is mostly done to treat people suffering from coronary artery disease which predicts heart attack. However, there are also some other conditions where a heart surgery is required, including:

  • Trouble in the valves
  • Problems in the main vessel of the heart
  • Replacement of damaged heart with a donor heart

What are the Different Types of Open-heart Surgeries?

Depending on the health issues, there are different types of open-heart surgeries. Some of the common ones include:

  • Coronary Artery Bypass Grafting: It is the most common type of heart surgery and is performed to provide alternate routes of blood supply to heart. The healthy artery is usually taken from chest, arms or legs.
  • Heart Valve Repair or Replacement: This heart surgery is performed to either repair the valve or replace it with a biological valve or metallic valve.
  • Arrhythmia Treatment: Arrhythmia is a condition where the heart does not beat in a regular rhythm. A pacemaker or an ICD are placed inside the body during surgery to overcome irregularity of the heart beats. Arrhythmia ablation treatments are now available with cutting edge technology and expert surgeons.
  • Heart Transplant: This surgery treats advanced heart failure by replacing the damaged heart with a healthy heart from a deceased donor.

  What Happens Before an Open-heart Surgery?

The first and foremost thing is to discuss the doubts and plan the surgery with the doctors. However, this is not possible in cases where immediate heart surgery is needed. For instance, in case a person has been diagnosed with the heart attack symptoms due to blocked coronary arteries, doctors need to perform heart bypass surgery to save a life.

Some of the steps a patient is required to take to increase the success of the surgery include - taking a balanced diet, quitting smoking and exercising. The patient is also required to go through several lab tests including blood tests.

On the day of surgery, the patient has to undergo a number of tests including an EKG (electrocardiogram), chest X-ray, and blood tests. The skin of the patient is also sterilized to reduce the risk of any infection. The surgery is performed with general anaesthesia and the patient is kept in the ICU for 1-2 days before being shifted to the nursing ward.

What Happens During Open-heart Surgery?

In traditional open-heart surgery, the surgeons make a 6 to 8 inch cut in the middle of the chest through the breastbone using a surgical blade. Once the heart is visible, the surgeons begin the surgery. In case of a coronary artery bypass surgery, the surgeons provide alternate routes of blood supply via conduits (vessels) harvested using microscopic surgical instruments.Occasionally in complex and difficult case scenarios surgeons also use a heart-lung bypass machine during the surgery. This machine temporarily takes over the functions of the heart during the surgery.

After the surgery, surgeons use wire sutures to close the breastbone. The incision is then stitched carefully. The surgery usually takes around 3 to 6 hours depending on the complexity.

What to Expect After the Surgery?

Open-heart surgery is a major operation, and hence it requires close and careful monitoring once it is performed. The patient is usually shifted to the Intensive Care Unit (ICU) for proper care. The overall recovery may take a few weeks. During the recovery period, the patient needs to follow the instructions given by the doctors and take the prescribed medicines regularly. In many cases, the doctors also recommend the patient to participate in cardiac rehabilitation for a better and faster recovery.

A successful open-heart surgery not just treats this life-threatening condition, but also restores the health of the patient. Hence, to ensure a successful surgery, one should always look for the best hospitals. We, at Max Healthcare, are where your search for the best heart surgeons in Delhi will find its success. With our cutting-edge technology and an esteemed team of heart surgeons, we strive hard to offer the best treatment to our patients. Today with the technology we can provide not only prolonged life but also an active and healthy lifestyle.

 

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Who Are the Right Candidates for ECMO?

January 17, 2018 0 64 2 minutes, 50 seconds read

With the advancements in technology, the medical arena has also marched ahead with its high-end tools and new inventions treating the most challenging health situations ever. ECMO is one such invention which has the capability to provide life support to a critical patient. It is being used for treating adults and children facing cardiac and respiratory failure.

ECMO - extracorporeal membrane oxygenation is a high-end technology used for rescuing the patients suffering from heart and lung failure. The machine, when connected to a patient, pumps oxygenated blood back into the body. This allows the heart and the lungs of the patient to rest and heal. ECMO also acts as a bridge for the patients waiting for a lung transplant.

Types of ECMO

There are various forms of ECMO, but two of the most common ones are VA ECMO and VV ECMO.

Veno-Arterial (VA)

Also known as VA ECMO, it is connected to a vein and an artery for blood circulation. VA ECMO is mostly used when both heart and lungs are not able to perform their function properly.

Veno-Venous (VV)

VV ECMO is a machine connected to one or more veins and is used for providing support to the lungs.

Depending on the patient’s condition, we at Max Healthcare select the option which is best suitable for them.

ECMO is no less than a saviour in many conditions and to know the eligibility of a patient for ECMO, it is important to first know about the conditions where it is primarily recommended by doctors.

Heart Failure or Lung Failure

ECMO is used when a patient is recovering from heart failure or lung failure. Moreover, patients who have had a heart surgery in the past are also recommended for ECMO.

Before Heart or Lung Surgery

ECMO is also used as a bridge option before performing heart or lung surgery to assess the functioning of other organs of the body.

Support After Heart Attack

During high-risk procedure after a massive heart attack, doctors use ECMO for providing support to the patient’s life.

Lung Transplant

It is also used for patients awaiting lung transplant. The technology keeps the tissues well oxygenated helping the patient in becoming a better candidate for the transplant.

Heart Assist Device

It is also used as a bridge for heart assist device like left ventricular assist device (LVAD) in cases of heart failure.

Some other health issues that are related to severe lung failure are - Swine Flu infection (H1N1) and Dengue fever. Looking at the patient’s condition and eligibility, the doctors recommend the use of ECMO to treat the patient.

People suffering from one or any of the conditions mentioned below are usually considered the right candidate for ECMO:

  • Acute Respiratory Distress Syndrome (ARDS)
  • Post Arrest Shock
  • Refractory Septic / Cardiogenic Shock
  • Meconium Aspiration
  • Congenital Diaphragmatic Hernia
  • Persistent Pulmonary Hypertension
  • Poisoning

Till now, the success rate of ECMO has been remarkable, and it has proved to be quite beneficial for many patients. Here, at Max Healthcare, we have also installed this state-of-the-art technology to ensure better treatment for our patients. We are equipped with a team of highly qualified cardiologists who keep in mind the requirements of the patients to provide them with the best treatment for a quick recovery.

Post your suggestions or doubts in the comment box below, and we at Max Healthcare will do our best to answer it.

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Dr. Rashi Khare

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PROFESSIONAL JOURNEY

Work Experience: 
  • DM Senior Resident GB Pant Hospital (Sep 14 to Feb 15)
  • Asst Professor RML Hospital and PIGMER (Feb 15 to Aug 16)
Education & Training: 
  • MBBS- BRD Medical College Gorakhpur (2005)
  • MD- Gen Medicine MLB Medical College Jhansi (2010)
  • DM- Cardiology KGMU Lucknow (2014)
Awards Information: 
  • Gold Medal in MD Medicine
  • Gold Medal in MBBS
Duration Of OPD: 

   Max Super Speciality Hospital, Shalimar Bagh 

  • Mon - Sat :10 am-12 pm

Think Sudden Cardiac Arrest (SCA) is a Heart Attack?

December 18, 2017 0 43 3 minutes, 36 seconds read

Sudden Cardiac Arrest (SCA) occurs when the heart stops beating, abruptly and without warning. If this happens, blood stops flowing to the brain and other vital organs. In addition, if the heartbeat is not restored with an electrical shock immediately, death follows within minutes.

SCA takes one life every two minutes, claiming more lives each year than breast cancer, lung cancer, or AIDS. More than 350,000 deaths occur each year as a result of SCA.  To decrease the death toll from SCA, it is important to understand what SCA is, what warning signs are, and how to respond and prevent SCA from occurring.

More than 80% of Indians not only underestimate the seriousness of SCA but also believe SCA is a type of heart attack. But that is like comparing apples to oranges.

SCA versus a Heart Attack

As time is crucial to saving someone who is having an SCA, it is important to understand the difference. The heart’s electrical system is what is affected when SCA occurs. During SCA, the heart stops beating and no blood is pumped to the rest of the body. This could be compared to losing electricity in your house. The heart “electricity” must be turned back on, typically through electrical shock.

A heart attack affects the “plumbing” of the heart. A heart attack is caused by a blockage in a blood vessel that interrupts the flow of blood causing an area of the heart muscle to die. The heart must be “unclogged,” with drug therapy, angioplasty or surgery, in order to continue the blood flow to the rest of the body.

While both cause serious problems and possible death, SCA often occurs abruptly and without warning. In fact, two-thirds of SCA deaths occur without any prior indications of heart disease, while heart attacks often have previous signs and symptoms.

What Are the Signs and Symptoms of Sudden Cardiac Arrest?

Usually, the first sign of sudden cardiac arrest (SCA) is a loss of consciousness (fainting). At the same time, no heartbeat (or pulse) can be felt.

Some people may have a racing heartbeat or feel dizzy or light-headed just before they faint. Before SCA some people have chest pain, shortness of breath, nausea (feeling sick to the stomach), or vomiting.

Can sudden cardiac arrest be prevented? 

Death is best treated by prevention. Most sudden death is associated with heart disease, so the at-risk population remains males older than 40 years of age who smoke, have high BP and diabetes (the risk factors for heart attack). Other risks include syncope (fainting or loss of consciousness) and known heart disease. LVEF determined by 2D

Echo is the most important factor to determine the risk of SCA.

Syncope, or loss of consciousness, is another significant risk factor for sudden death. There is always a concern that the reason is an abnormal heart rhythm that subsequently got corrected on its own. The fear is that the next episode may not get corrected on its own. The only way to correct the abnormal rhythm which does not get corrected on its own is to give DC shock to the patient; however patient should reach the heart hospital. In patients who are identified as being at high risk for SCA especially those with markedly decreased ejection fractions, using implantable defibrillators (ICD) can reduce the incidence of sudden cardiac arrest dramatically. These devices are placed under the skin in the chest wall and have wires that are attached to the heart itself. When they detect ventricular fibrillation, a shock is automatically delivered to the heart, restoring a heartbeat and averting SCA.

Stop SCA before it stops you.

Every year more than unaccountable hearts suddenly and unexpectedly…Stop. But they didn’t have to. Early intervention could have saved their lives. Sudden Cardiac Arrest – a condition we need to stop. SCA is deadly and can happen to anyone, but chances are greater in Indians. Most high-risk patients do not receive recommended treatments. Over 80% of Indian patients think they don’t need to go to the doctor after experiencing heart disease symptoms. It’s time to arrest the risk by talking to your doctor.

The heart attack survivors are at the highest risk for SCA and stress needs to be laid on the importance of maintaining a healthy heart lifestyle and learning critical risk markers, especially Ejection Fraction (EF).

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Myocardial Infarction- A Growing Menace in Younger People!

December 12, 2017 0 56 2 minutes, 43 seconds read

The increasing prevalence of Myocardial Infarction (MI) in people less than 45 years of age is significantly alarming. Dr. Samir Kubba. Senior Consultant, Clinical and Interventional Cardiology, Max Super Speciality Hospital, Patparganj, says that there is a relative scarcity of data on premature coronary heart disease (CHD) and MI in the young, but we are now seeing a growing number of patients having MI at a relatively young age. He recalls a successful angioplasty case that he performed in a 21 year old college student with a very large MI- he was a heavy smoker.

He says that this increasing trend of MI in the young is a disturbing phenomenon with devastating consequences causing a greater impact on patient’s psychology, ability to work and socio-economic burden.

Who are at a greater risk of MI?

  • Higher Prevalence of Smoking
  • Family History of premature CHD
  • Male counterparts < 45 years of age
  • Diabetes
  • Hypertension
  • Stress
    • Obesity: Particularly truncal obesity due to a sedentary lifestyle, unhealthy dietary patterns and lack of physical activity counters the protection offered by a young age.

However, we are now diagnosing more and more patients with hypertension, dyslipidemia, and diabetes for the first time after they present to us with MI at a young age. To escalate matters further, ignorance of CHD combined with a false sense of security prevents younger individuals from seeking early medical advice. Hence early recognition and risk factor modification in this population are of key importance.

Other factors that need attention:

A number of other potential but uncommon causes in young MI patients which deserve attention include:

  • Cocaine abuse
  • Kawasaki disease
  • Aortoarterits, spontaneous coronary artery dissection
  • Hyperhomocysteinemia
  • Low levels of oestrogen and oral contraceptives usage in young women can also cause MI.

An important point to understand here is that young MI patients often lack warning symptoms like escalating chest pain, unlike their elderly counterparts. The first presentation of MI can be sudden death. The coronary angiography in the young tends to reveal less extensive disease in comparison to older counterparts.

We are seeing a growth in the multivessel disease more often, but with improvements in medical therapy and angioplasty, many of the young patients are being salvaged and are leading normal lives.

Post MI outcome

There is a high incidence of depression post-MI in young patients and it can be as high as 50%. It often requires multiple strategies including counseling, personalized prescription, and management of co-occurring mental health conditions. It affects the quality of life and hence identifying and managing depression early is important. Some patients may develop significant reduction in their left ventricular Function (pumping function of the heart) post MI and may have heart failure. However, on the brighter side, significant improvements in medical and device therapies for heart failure have dramatically improved outcomes in many of these patients.

As goes the age-old adage “Prevention is better than cure”, it is of utmost importance to educate the youth on the harmful effects of smoking, sedentary lifestyle, obesity, unhealthy dietary patterns, stress and substance abuse – all of which are “modifiable” risk factors. In addition, early screening and management of young patients who are at risk- especially those with a strong family history of premature CHD is the need of the hour to collectively fight this alarming problem.

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What Do You Need to Know about Coronary Artery Disease?

November 27, 2017 0 35 2 minutes, 6 seconds read

Women are caregivers & caretakers of the family and their being healthy is of utmost importance. But most of the times they are so busy caretaking that they ignore their health and so does everyone else very conveniently, including family, community and doctors also at times.

Do you know India will have the largest heart disease burden by 2020? Most of us believe that CAD i.e. Coronary Artery Disease is the disease of men, and women only have to worry about mammography & Gynaecology visit. In fact, the world over, 50,000 women die of heart disease every year. One woman dies every minute from cardiovascular disease in the U.S.

Dr. Anupam Goel says that other than awareness, it’s the diagnosis & treatment of heart disease that contributes to excess mortality in women. Each year more women die of cardiovascular disease as compared to other diseases. For every woman that dies from breast cancer, there are six that die from heart disease and unfortunately, younger women are at a higher risk as compared to die from CAD as compared to older women.

When to see a doctor?

Heart disease in women does not have any typical presentation like retrosternal chest heaviness in men. One should see the doctor if there are any of the following complaints:-

  • Difficulty in breathing especially while going upstairs or walking fast
  • Unusual fatigue or dullness
  • Gastritis like feeling/burning in chest
  • Pain abdomen or pain in shoulders, back, arms or hands
  • Palpitation
  • Nausea, vomiting or feeling of indigestion
  • Sweating
  • Lightheadedness or dizziness

An atypical presentation can cause a delay in identifying the growing risk of heart diseases in women, thereby leading to the worst outcome. In general one in five women has some form of CVD Cardiovascular and almost one-third of women who have a heart attack die within one year.

Though heart disease can occur without any apparent risk factor also, common risk factors are:-

  • Diabetes
  • Hypertension
  • Dyslipidemia (explore of good cholesterol HDC)
  • Smoking
  • Overweight
  • Sedentary lifestyle (Physical inactivity)
  • Family history of CAD

Awareness about CAD in women is growing in developed countries like the US where they do a special campaign like RED Dress. Sundays are being observed for making women aware of heart disease risk but we have a long way to go in developing countries like India.

Widespread awareness, early recognition of symptoms and diagnosis of CAD is of utmost importance to save invaluable lives of caregivers of the society.

For more information, you can visit the best heart hospital in Delhi.

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Max Dehradun Introduces “Heart Team Concept” to treat Cardiovascular Diseases (CVD)

November 10, 2017 0 159 1 minute, 45 seconds read

Max Hospital, Dehradun is the first hospital in Uttarakhand to adopt “Heart Team Concept” in the management of complex heart diseases. This concept is gaining popularity to provide holistic and ethically correct treatment to patients suffering from various cardiovascular diseases.

For managing patients who are suffering from complex cardiovascular diseases has changed substantially over the last 10 years with the advent of advancements in information technology and an increasing amount of evidence data.    As a result, it is necessary to synthesize a large quantity of information so that the care management options that are available are understandable to patients and their families. To facilitate this process of evidence-based care, patient-centric approach, Multidisciplinary teams have become cornerstones.

Presently, this approach is useful in planning Revascularization Strategies to manage complex coronary artery disease with multiple co-morbidities.  The heart team in coronary revascularization consists of Interventional Cardiologists, CTVS surgeons and cardiac anesthesiologists, an imaging specialist and a neurologist.

The concept of heart team came into existence after SYNTAX trial results (synergy between PCI and CABG).  

The conventional approach to surgical aortic valve implantation in high-risk candidates with co-morbidities has been replaced with the percutaneous approach by interventional cardiologists; hence the heart team works in the management of Severe Aortic valve stenosis.

The Objective of Heart Team Approach is to provide patient-centric care where family and the patients participate in decisions that are taken by the team.  The other alternatives to the treatment are discussed in the presence of family and the outcome of each approach is also discussed to understand the expectations. The final treatment will only be given once the family and team take the final decision.

According to the ESC and ACC guidelines, the heart team concept is now being imbibed in the guidelines document as a Class 1 indication regarding coronary revascularization in complex CAD patients.

At present, there are some barriers to this concept of heart team like a conflict of interest between surgeon and cardiologist, the difference in position or hierarchy, busy schedules of one of the people involved in the team. These barriers can be crossed once this concept evolves.

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